Medicare Advantage Risk Adjustment: Legal Issues for MA Plans, Providers, and Vendors - On Demand RecordingContains 1 Component(s) Recorded On: 06/25/2020
The topic will be Medicare Advantage risk adjustment legal risks and compliance strategies.
Cutting Edge Issues and Trends in Health Care Fair Market Value Webinar Series, All Parts - On Demand RecordingContains 3 Product(s)
This webinar series will examine three cutting edge fair market value (FMV) issues that health care organizations are facing in 2020. Notably, health care organizations are exploring FMV in the context of joint venture structures and unique arrangements with private equity backed entities. Many are also structuring value-based arrangements and are seeking methods to determine and document FMV compensation for care coordination, quality, and cost containment. Finally, health care organizations nationwide are developing more innovative compensation models with Advanced Practice Providers (NPs, PAs, CNMs, CRNAs) that align with industry FMV principles. Please join our panel of experts as they delve into these three top cutting-edge issues.
Cutting Edge Issues and Trends in Health Care Fair Market Value, Part III: Advanced Practice Providers – How the COVID-19 Pandemic Changed the Utilization and Deployment of APPs - On Demand RecordingContains 1 Component(s) Recorded On: 06/18/2020
Historically physicians were the sole clinical provider for most patients across the country; however, over the past few decades nurse practitioners, nurse midwives, nurse anesthetists, and physician assistants (“Advanced Practice Providers or APPs”) have expanded the concept of a provider. The COVID-19 pandemic required health systems across the country to deploy APPs in various ways and the governments around the country waived many restrictions around APPs. This webinar will focus those concepts including strategies around compensation of these individuals with a focus on long term implications for effective utilization of APPs.
Value-Based Payments in Public and Not-for-Profit Hospitals in the Age of COVID-19 - On Demand RecordingContains 1 Component(s) Recorded On: 06/17/2020
Value based payments have changed the nature and types of arrangements and transactions between providers. The changes have included increases in risk-based contracting and in alignment strategies that rely on payment principles that were previously less common, such as gainsharing, capitation and subsidization. Hospitals and health systems that are tax supported, not-for-profit or otherwise serve the social safety net have special considerations when structuring and entering into new types of risk and payment arrangements. These special considerations are layered on a complex patchwork of more general laws and considerations that affect all hospitals and health systems. Our panel of experts will identify and discuss the complex and expanding scope of considerations in the context of the new hospital realities created by COVID-19.
Fraud and Abuse in the age of Coronavirus: Current and Future Federal Criminal and Civil Enforcement Actions - On Demand RecordingContains 1 Component(s) Recorded On: 06/10/2020
The Federal government stimulus in response to the Coronavirus pandemic will lead to a significant flow of federal money to many industries, including health care. We know from past federal stimulus efforts that the risk of fraud and abuse is high, and the federal government is taking proactive measures to combat fraud and abuse resulting from the Coronavirus pandemic response. At the same time, the regulations concerning the stimulus money and guidance related to the Stark blanket waivers and other regulatory guidance is evolving and open to interpretation. Our speakers will cover the potential criminal and civil exposures, the ongoing government response to monitor and pursue fraud and abuse, and guidance for health care entities who are working in this quickly changing regulatory environment. The panel will also discuss DOJ's focus on investigating and prosecuting efforts to take advantage of the pandemic by selling fraudulent services and treatments.